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SURGICAL CONSULTANTS OF HOLLYWOOD, P.A. - Florida Company Profile

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Company Details

Entity Name: SURGICAL CONSULTANTS OF HOLLYWOOD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 21 Nov 2003 (22 years ago)
Date of dissolution: 23 Sep 2016 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (9 years ago)
Document Number: P03000137807
FEI/EIN Number 522420649
Address: 4651 SHERIDAN STREET #350, HOLLYWOOD, FL, 33021, US
Mail Address: 4651 SHERIDAN STREET #350, HOLLYWOOD, FL, 33021, US
ZIP code: 33021
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
COHEN BRETT Director 4651 Sheridan St, HOLLYWOOD, FL, 33021
- Agent -

National Provider Identifier

NPI Number:
1417142464

Authorized Person:

Name:
DR. THOMAS L BASS
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
9549661156

Form 5500 Series

Employer Identification Number (EIN):
522420649
Plan Year:
2012
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
7
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08140700102 HOLLYWOOD BARIATRICS EXPIRED 2008-05-19 2013-12-31 - 1150 N 35TH AVE, SUITE 540, HOLLYWOOD, FL, 33021
G08140700123 GULF COAST BARIATRICS EXPIRED 2008-05-19 2013-12-31 - 1150 N 35TH AVE, SUITE 540, HOLLYWOOD, FL, 33021

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2013-04-23 4651 SHERIDAN STREET #350, HOLLYWOOD, FL 33021 -
CHANGE OF MAILING ADDRESS 2013-04-23 4651 SHERIDAN STREET #350, HOLLYWOOD, FL 33021 -
CANCEL ADM DISS/REV 2007-10-05 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 - -

Documents

Name Date
ANNUAL REPORT 2015-04-21
ANNUAL REPORT 2014-01-09
ANNUAL REPORT 2013-02-21
ANNUAL REPORT 2012-03-03
ANNUAL REPORT 2011-03-24
ANNUAL REPORT 2011-01-10
ANNUAL REPORT 2010-01-10
ANNUAL REPORT 2009-06-23
ANNUAL REPORT 2008-05-19
REINSTATEMENT 2007-10-05

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Date of last update: 03 Aug 2025

Sources: Florida Department of State